Manager, Post-Acute Access
On-siteSarasota, Florida, United States
Job Summary
Establish a collaborative rapport with key stakeholders to supervise daily activities supporting the post-acute admissions team. Manage referrals to SMH post-acute services to ensure a smooth transition of care for patients discharging from a care setting. Oversee all elements of access, including compliance with registration, scheduling, and regulatory requirements. Support strategic goals through timely reporting and analysis of key performance indicators. This role requires a Bachelor's degree with seven years of clinical practice or relevant experience, plus certifications such as CHAM, CCM, or ACM. Preferred qualifications include five years of Medicare/Medicaid experience and knowledge of ICD-10 and CPT coding. The position is based at the Sarasota Campus.
Required Qualifications
- Bachelor's degree in related field
- Master's degree
- Minimum of seven (7) years of clinical practice in a hospital or post-acute setting
- Relevant work experience in lieu of clinical practice (e.g., registration, billing, insurance processing, auditing)
- At least two (2) years within a lead or supervisory role
- Certified Healthcare Access Manager (CHAM) certification
- Certified Case Manager (CCM) or Accredited Case Manager (ACM)
- Admissions Liaison (UDS)
Desired Qualifications
- Minimum of five (5) years of experience with Medicare, Medicaid, insurance, managed care, post-acute guidelines, and patient placement in a post-acute setting
- Knowledge of PPS payment/reimbursement systems
- Ability to collect, document, and analyze data
- Experience in computer skills including spreadsheets, database, word processing, and other common applications
- Demonstrated leadership skills and understanding of group processes, teamwork, and cost center-based management
- Demonstrated knowledge of International Classification of Diseases Ninth Revision (ICD-10) coding and Current Procedural Terminology (CPT) coding
- Demonstrated thorough knowledge of Medicare National Coverage Determination (NCD) and Local Coverage Determination (LCD) protocols for medical necessity/ Advanced Beneficiary Notice
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